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Organization
JUST US 4 YOUTH
Active
Organization
JUST US 4 YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HUDAK (DIRECTOR OF OPERATIONS)
(562) 322-7240
Entity
Organization
Contact information
Practice address
158 W 3RD ST, POMONA, CA 91766-1742
(909) 784-5787
Mailing address
158 W 3RD ST, POMONA, CA 91766-1742
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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